Organization
CARDIOTHORACIC SURGERY OF HYDE PARK INC
Active
Other names
Millennium Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH TEEKELL-TAYLOR (OWNER/PROVIDER)
(727) 498-8898
Entity
Organization
Contact information
Practice address
8950 9TH ST N STE 102, ST PETERSBURG, FL 33702-3001
(727) 498-8898
(727) 800-6959
Mailing address
301 W PLATT ST, SUITE 24, TAMPA, FL 33606-2292
(727) 498-8898
(727) 800-6959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609489541
—
FL
05
—
1790390011
—
FL
05
—
1912971292
—
FL
05
—
1982649935
—
FL
Enumeration date
10/05/2010
Last updated
03/08/2021
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